DBA INDIAN RIVER RETIREMENT COMMUNITY, LLC
NPI 1578639654
Custodial Care Facility - Adult Care Home in Chesapeake, VA

Q: What is Indian River Residential Care Community's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Active since November 28, 2006

1012 JUSTIS ST, CHESAPEAKE, VA 23325(757) 523-4659 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dba Indian River Retirement Community, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DBA INDIAN RIVER RETIREMENT COMMUNITY, LLC (NPI 1578639654) is a healthcare organization registered as an adult care home in Chesapeake, Virginia and active in the NPI registry since November 2006. The organization lists Guy S Pierce, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1578639654

Entity TypeOrganization

Primary Taxonomy311ZA0620X

Legal Business NameINDIAN RIVER RESIDENTIAL CARE COMMUNITY

Location Address1012 JUSTIS STChesapeake, VA 23325-2516

Mailing AddressPo Box 1487Kernersville, NC 27285-1487 · (336) 595-1075

Phone(757) 523-4659

Organization SubpartNo

Authorized OfficialGuy S PierceManaging Member · (336) 595-1075

Enumeration DateNovember 28, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1578639654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities

Taxonomy Code311ZA0620X

Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

1012 JUSTIS ST, Chesapeake, VA 23325

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Other Names 1

Doing Business AsDba Indian River Retirement Community, Llc

Other Identifiers 1

Medicaid5002281VA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Indian River Residential Care Community's NPI number?

The NPI number for Indian River Residential Care Community is 1578639654. It was assigned to this organization in the NPPES registry on November 28, 2006. The provider is doing business as Dba Indian River Retirement Community, LLC.

Where is Indian River Residential Care Community located?

Indian River Residential Care Community is located at 1012 Justis St, Chesapeake, VA 23325. The listed phone number is (757) 523-4659.

What is Indian River Residential Care Community's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Indian River Residential Care Community was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.